Question

1. Lily Wilson, a new patient, is seen by the physician in a skilled nursing facility for an initial nursing facility assessment. Mrs. Wilson recently suffered a cerebral thrombosis with residual dysphasia and paresis of the left extremities. She was transferred from an acute care hospital to the skilled nursing facility for concentrated rehabilitation. Mrs. Wilson also has an arteriosclerotic heart disease with a permanent pacemaker in place, rheumatoid arthritis, urinary incontinence, and a macular degeneration in her left eye. The physician, who did not know Mrs. Wilson prior to her transfer, performs a comprehensive history and physical examination. Given the patients multiple diagnosis and the moderate amount of data the physician has reviewed the MDM is of high complexity

CPT code     _________

Answer 1

CPT code:99220

CPT code 99220 according to american medical association is defined as initial observation care per day for the evaluation and management of patients who require ,comprehensive history taking, a comprehensive physical examination and medical decision making of high complexity.

In the above scenario since the physician performed a comprehensive physical examination and history taking for the diagnosis of Lily wilson which required a medical decision making of high complexity this code of CPT:99220 can be applied.